Occupational Therapy Proposal - DOC

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Occupational Therapy Proposal - DOC Powered By Docstoc
					                      GARY COMMUNITY SCHOOL CORPORATION
                 Request for Proposal for Professional Services

                  OCCUPATIONAL THERAPY SERVICES
                          R.F.P.#SEOT08-6
Notice is hereby given that the GARY COMMUNITY SCHOOL CORPORATION is
procuring proposals for OCCUPATIONAL THERAPY SERVICES.

Work associated with this project consists of, but is not limited to, completion of the
following:

      Provide services for pupils needing occupational therapy intervention
      Administer direct treatment to pupils, including the monitoring and
       documentation of progress
      Conduct evaluations and re-evaluations
      Attend Case Conferences to discuss the specific needs of students and write
       goals and objectives
      Provide direct supervision of COTA (Certified Occupational Therapy Assistant)
       according to Indiana Law
      Provide Staff Development
      Attend Staff Development Sessions
      This contract requires 180 school days of service.

Each person/firm who possesses the qualifications to perform the services as described
above is invited to complete the “REQUEST FOR PROPOSAL FOR PROFESSIONAL
SERVICES: OCCUPATIONAL THERAPY R.F.P.#SEOT08-6.“ This RFP is available in
the Special Education Department and may be obtained by interested persons Monday
through Friday between 8:00 A.M. and 4:00 P.M., and on the District’s website at
(www.garycsc.k12.in.us.) Persons and/or firms who are qualified and interested should
submit their Proposals to:

                    Mrs. D. Younger, Director of Special Education
                             Lincoln Achievement Center
                                  1988 Polk Street
                                   Gary, IN 46407

Proposals are to be submitted no later than Friday, May 30, 2008 at 11:00 A.M. local
time. A contract will be awarded to the person/firm who, in the judgment of the Board
of School Trustees, is the most qualified for this work. The Board of School Trustees
reserves the right to reject any and all proposals submitted.


                                           1
                    GARY COMMUNITY SCHOOL CORPORATION
                     Request for Proposal for Special Education

                   OCCUPATIONAL THERAPY SERVICES
                           R.F.P.#SEOT08-6

Packet Number :__6___

1. FIRM or COMPANY:
   Name:
   Company:
                                                                               Zip:
   Telephone Number(s):

   It is our understanding that the scope of work involved in the request is as follows:
   (Describe briefly. Use additional sheets if necessary.)




                                              2
Page 2
R.F.P.# SEOT08-6
Due: Friday, May 30, 2008 at 11:00 A.M. Local Time


2. Name of Principle service provider and their level of professional
   preparation/certification(s) in the state of Indiana




  Attach resume.

3. List work the type of work /type of service your firm has recently
   completed in the state of Indiana.




  You may include additional sheets if necessary.

4. What is your state of Indiana registration number?



5. Please submit a list of your employees categorized by minority and
   positions held with your firm.

6. Please submit your firm’s affirmative action program and equal
   employment opportunity policy statement.

                                           3
Page 3
R.F.P.# SEOT08-6
Due: Friday, May 30, 2008 at 11:00 A.M. Local Time


7. Name(s) of Consultant, if any, that your firm will retain to monitor
   this contract: (Attach resume of each consultant)




8. Has your firm ever been dismissed or terminated from a project after
   signing a contract with the owner but before the completion of the
   project agreed upon?
            ______ Yes            ______ No
      If yes, what were the circumstances?




9. Give names of persons whom the Board of School Trustees may contact, these
   persons should have knowledge of your firm and your work with these services.
   (Please list name, address & telephone numbers)
   1.
   2.
   3.
   4.

                                          4
Page 4
R.F.P.# SEOT08-6
Due: Friday, May 30, 2008 at 11:00 A.M. Local Time


10.Proposal – For all labor, material, transportation and equipment necessary to
   complete the work as contained herein and in the legal advertisement:

   Service                                Rate           Unit(s)       Amount




TOTAL $____________________

11. Administrative Overhead – If Administrative Overhead is not included in Number 10
    shown above, please calculate, describe the method of calculation, and show the amount.




TOTAL $____________________


                                               5
Page 5
R.F.P.#SEOT08-6
Due: Friday, May 30, 2008 at 11:00 A.M. Local Time


12.Profit – If profit is not included in Number 10 shown above, please calculate;
   describe the method of calculation employed, and show the amount.




TOTAL $____________________

13. Additional Fees/Personnel – List, describe and indicate the amount of any other
    fees/expenses the corporation will have to meet that are not included in number 10.




TOTAL $____________________



TOTAL FEES (The sum of the totals from #10, 11, 12 & 13) $


Submitted By:                                                            (Signature)

                                                                 (Name – Please Print)

                                                                                (Title)

                                                                                (Date)


                                               6
                                                                              Form - AA-1
                                                                              Page 1

                       AFFIRMATIVE ACTION PROFILE OF BIDDER

        Please answer the following questions as indicated to the right (yes or no).

                                                                                  Yes   No
A. Is it the company’s policy to recruit, hire, train, upgrade, promote,
   and discipline persons without regard to race, color, religion, sex,
   national origin or ancestry?
B. Has responsibility been assigned to develop procedures which will
assure that this policy is understood and carried out by managerial,
administrative and supervisory personnel?
C. Has the company developed a written Affirmative Action Program?
If “yes”, please forward a copy with this form.
D. Have all recruitment sources been notified that the company will
consider all qualified applicants without regard to race, color, religion,
sex, national origin or ancestry?
E. If advertising is used; does it specify that all qualified applicants will
be considered without regard to race, color, religion, sex, national origin
or ancestry?
F. Does the company have bargaining agreements with employee
organizations? If “yes” have such organizations been notified of the
company’s responsibility to comply with the Equal Employment
Opportunity clauses and non-discrimination clause as it applies to
apprentices and other employees?
G. Has the company notified all of its subcontractors of their obligation
to comply with the non-discrimination clause?

H. Identify Employee Organization

   (Local Union Number)                                         (International)

   ___________________________________________________________________________
   ___________________________________________________________________________
   ___________________________________________________________________________
   ___________________________________________________________________________

Bidder’s Name:______________________________________________________
Date:_______________________________________
                                                7
                                                                Form – AA 1
                                                                Page 2

Summary information of Bidder’s Work Force and Identification of Standard
Metropolitan Statistical Area:

Does the company normally hire additional employees to perform contract
work?_______ If so, how many ________.

What is the approximate number of employees working for the company at any
peak point during a twelve (12) month period?________

How many persons are employed wit the company on a year around
basis?_________

Identify the geographical area in which the company is located (use city, count,
Standard Metropolitan Statistical Area, distance in miles from company location,
etc.).

          Identity of                      Minority              Minority
       Geographical Area                  Population %          Labor Force %

__________________________                ___________            ____________

In view of the above Work Force Analysis the company has analyzed its present
utilization of minority employee’s job classification and has developed the
following affirmative action goals and timetables.

   GOALS AND TIMETABLES

   This company commits itself to the future hiring of minorities in the following
   numbers and job classifications in the Implementation of this Affirmative
   Action.

   MINORITIES                   JOB CATEGORIES                  TARGET DATES
    (Numbers)
   ____________              ______________________            ________________
   ____________              ______________________            ________________
   ____________              ______________________            ________________
   ____________              ______________________            ________________
   ____________              ______________________            ________________
Date:__________________________________
                                      8
Form AA-1
                                                             Page 3

In order to achieve these goals, this company plans to take the following action
steps:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________


                      STATUS REPORT REQUIRED QUARTERLY

   _____________________________________________________________
                                      (Company Name)


   _____________________________________________________________
                                 (Address)


   _____________________________________________________________
                             (City, State, Zip Code)


_________________________                       _________________________
(Telephone)                                          (Fax)



                             _________________________________________
                                             (Official’s Signature)

                                          ______________________________
                                                    (Title)
                                         ___________________________________
                                   9                    (Date)
COMPANY________________________________________________________

                                  EMPLOYMENT PRACTICE REPORT
                   STATISTICAL INFORMATION OF BIDDER’S WORK FORCE

                                                                                        ASIAN,
    JOB CLASSIFCATIONS               TOTAL        NON-        BLACK     HISPANIC      AMERIAN
                                   EMPLOYME     MINORITY                               INDIAN,
                                      NT                                               PACIFIC
                                                                                      ISLANDER
                                   M      F     M      F     M     F     M      F     M         F
1. Officials,
Managers/Supervisors

2. Professionals

3. Technicians

4. Sales

5. Office/Clerical

6. White Collar Trainees,
specify

7. Skills & Craftsmen, specify

8. Apprentices, specify crafts

9. On-the-job trainees, specify

10. Semi-skilled

11. Service

12. Unskilled

                     TOTALS

Above employee figures were obtained from: ( ) Visual Check ( ) Employment Records
If part-time employees are indicated, you must indicate the number of hours worked each week.

Date:_____________________________________________________

FAILURE TO COMPLETELY FILL OUT BID DOCUMENTS AND RETURN WITH
BID ALL INFORMATION REQUESTED WILL BE GROUNDS FOR REJECTING
BIDS.                     10

				
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